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Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act

Legal United States Legal Forms Expense Claim Form Insurance Claim Form Workers Compensation Forms United States Federal Legal Forms U.S. Department of Labor - Office of Workers' Compensation Programs Government Benefits Claim for Reimbursement Benefit Payments

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U.S. Department of Labor Forms

Documents:

Form CA-278 Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act

Form WH-380-E Fmla Certification of Health Care Provider for Employee's Serious Health Condition

Form CC-4 Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor (French)

Formulario CC-4 Queja Por Discriminacion Laboral Cometida Por Un Contratista O Subcontratista Federal (Spanish)

Form CC-4 Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor (Haitian Creole)

Form CC-4 Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor (Hmong)

Form CC-4 Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor (Korean)

Form CC-4 Complaint Involving Employment Discrimination by a Federal Contractor or Subcontractor (Russian)

ETA Form 9062 Work Opportunity Tax Credit Conditional Certification Form (Cc)

ETA Form 9175 Work Opportunity Tax Credit - Long-Term Unemployment Recipient (Ltur) Self-attestation Form (Saf)

Form CA-17 Duty Status Report

Form CA-7 Claim for Compensation

Form CA-20 Attending Physician's Report

ETA Form 8429 Complaint/Apparent Violation Form

Form OWCP-5A Work Capacity Evaluation Psychiatric/Psychological Conditions

Form OWCP-5C Work Capacity Evaluation Musculoskeletal Conditions

Form OWCP-5B Work Capacity Evaluation Cardiovascular/Pulmonary Conditions

Form WH-347 Payroll

Form WH-540 Application to Amend a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration, or to Request a Duplicate Certificate

Form ETA-9089 Application for Permanent Employment Certification

Form CM-912 Survivor's Form for Benefits Under the Black Lung Benefits Act

Form CM-972 Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor

Form WH-1481 Notice to Examinee - Employee Polygraph Protection Act

Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act

Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease

Form CM-2970A Operator Response to Notice of Claim

Form CA-722 Notice of Law Enforcement Officer's Death

Form CM-2970 Operator Response to Schedule for Submission of Additional Evidence

Form CM-913 Description of Coal Mine Work and Other Employment

Form CM-933 Radiologic Interpretation

Form CM-933B Radiologic Quality Rereading

Form LS-271 Application for Self-insurance

Form LS-272 Application to Write Longshore Insurance

Form LS-262 Claim for Death Benefits

Form LS-204 Attending Physician's Supplementary Report

Form LS-266 Application for Continuation of Death Benefit for Student

Form LS-203 Employee's Claim for Compensation

Form CM-911A Employment History

Form CM-968 Medical History and Examination for Coal Mine Workers' Pneumoconiosis

Form CM-911 Miner's Claim for Benefits Under the Black Lung Benefits Act